老年住院患者的甲状腺筛查
Thyroid screening in elderly hospital patients.
作者信息
Byrne E, Gilmore D H, Beringer T R
出版信息
Ulster Med J. 1988 Apr;57(1):80-4.
A screening programme of thyroid disease in 214 elderly patients attending hospital was undertaken incorporating clinical and biochemical assessment. The prevalence of untreated hypothyroidism was 2.8%, treated hypothyroidism 2.8%, untreated hyperthyroidism 0.9%, sub-clinical hypothyroidism 4.7%, and non-thyroidal illness 3.3%. One patient with hypopituitarism was identified. Clinical judgement alone was poor. The costs of such a screening programme are discussed and the benefits highlighted.
对214名住院老年患者开展了一项甲状腺疾病筛查项目，该项目纳入了临床和生化评估。未经治疗的甲状腺功能减退症患病率为2.8%，接受治疗的甲状腺功能减退症患病率为2.8%，未经治疗的甲状腺功能亢进症患病率为0.9%，亚临床甲状腺功能减退症患病率为4.7%，非甲状腺疾病患病率为3.3%。发现一名垂体功能减退症患者。仅靠临床判断效果不佳。文中讨论了此类筛查项目的成本并强调了其益处。
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